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Organization
TOTAL REHAB PC
Active
Organization
TOTAL REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT M WOLFF LPT (PRESIDENT)
(630) 439-0009
Entity
Organization
Contact information
Practice address
100 E IRVING PARK RD, STE 107, ROSELLE, IL 60172-2048
(630) 439-0009
(630) 429-0011
Mailing address
100 E IRVING PARK RD, STE 107, ROSELLE, IL 60172-2048
(630) 439-0009
(630) 429-0011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232425
BC/BS OF IL
IL
Enumeration date
03/14/2008
Last updated
09/30/2009
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